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欧洲患者组织在药物警戒中的作用。

The Role of European Patient Organizations in Pharmacovigilance.

机构信息

Department of Pharmacology, Faculty of Pharmacy, University of Seville, Seville, Spain.

Instituto Politécnico De Coimbra, ESTESC-Coimbra Health School, Farmácia, Coimbra, Portugal.

出版信息

Drug Saf. 2019 Apr;42(4):547-557. doi: 10.1007/s40264-018-0748-x.

Abstract

INTRODUCTION

Patient organizations have a privileged position to be active agents for promoting pharmacovigilance and patient engagement, encouraging direct patient reporting and improving the awareness of pharmacovigilance.

AIM

The objective of this study was to understand the role of European patient organizations as stakeholders to optimize patient involvement in pharmacovigilance.

METHODS

A descriptive correlational study was conducted to investigate the opinions and attitudes of patient organizations regarding general patient involvement in pharmacovigilance, and their initiatives to support drug safety through a web-based questionnaire during the months of March and April 2018.

RESULTS

A total of 1898 patient organizations were invited to participate in the survey, including 89 pan-European organizations. In total, 337 questionnaires (17.76%) were collected from 31 countries, including 297 complete answers (88.31%). A large number of organizations stated that they would like to increase the awareness of patients regarding specific adverse drug reactions (ADRs) related to their medicines (43.19%, n  = 130); however, 38.54% (n  = 116) declared they do not have any pharmacovigilance goals. Barriers to supporting pharmacovigilance activities include low budget to promote pharmacovigilance among members (45.45%, n  = 135), lack of resources to participate in pharmacovigilance activities (43.77%, n  = 130), or lack of support from the National Competent Authorities (33.33%, n  = 99). Organizations inform patients to report ADRs (40.40%; n  = 120), information regarding new ADRs related to their medicines (40.07%; n  = 119), or when a new drug is marketed (30.98%; n  = 92); however, more than one-third indicated that they never had any involvement in pharmacovigilance (34.68%; n  = 103).

CONCLUSION

Bringing pharmacovigilance stakeholders and patient organizations together could create a more optimal reporting culture. Patient organizations appear to have an important role in encouraging patients to talk with their doctors/pharmacists about ADRs experienced, or to help him/her report the ADRs to the pharmacovigilance systems. Lack of resources, budget, and support from NCAs are seen as the main barriers to being involved in pharmacovigilance awareness.

摘要

介绍

患者组织具有成为促进药物警戒和患者参与的积极代理的特权地位,鼓励直接患者报告并提高对药物警戒的认识。

目的

本研究的目的是了解欧洲患者组织作为利益相关者在优化患者参与药物警戒方面的作用。

方法

进行了一项描述性相关性研究,以调查患者组织对一般患者参与药物警戒的意见和态度,以及通过网络问卷支持药物安全的举措,该问卷于 2018 年 3 月和 4 月期间进行。

结果

共邀请了 1898 个患者组织参与调查,其中包括 89 个泛欧组织。共有 337 份问卷(17.76%)来自 31 个国家,其中包括 297 份完整的答复(88.31%)。许多组织表示希望提高患者对与其药物相关的特定药物不良反应(ADR)的认识(43.19%,n=130);然而,38.54%(n=116)表示他们没有任何药物警戒目标。支持药物警戒活动的障碍包括在成员中推广药物警戒的预算低(45.45%,n=135),缺乏参与药物警戒活动的资源(43.77%,n=130),或缺乏国家主管当局的支持(33.33%,n=99)。组织告知患者报告 ADR(40.40%;n=120)、与其药物相关的新 ADR 信息(40.07%;n=119)或新药物上市时(30.98%;n=92);然而,超过三分之一的组织表示他们从未参与过药物警戒(34.68%;n=103)。

结论

将药物警戒利益相关者和患者组织聚集在一起,可以创造更理想的报告文化。患者组织在鼓励患者与医生/药剂师讨论所经历的 ADR 或帮助他们向药物警戒系统报告 ADR 方面似乎发挥着重要作用。缺乏资源、预算和国家主管当局的支持被视为参与药物警戒意识的主要障碍。

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